Rmvl ndwellg tun pleural cath at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,459.06
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$3,409.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$175.16 with Partnership Health Plan vs $9,715.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $175.16 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $175.16 | ↓ -88% |
| CenCal | Medicaid|> 21 | $192.50 | ↓ -87% |
| CenCal | Medicaid|< 21 | $192.50 | ↓ -87% |
| Health Net | Medicaid|< 21 | $215.45 | ↓ -85% |
| Health Net | Medicaid|> 21 | $215.45 | ↓ -85% |
| Western Growers | Commercial|All Plans | $539.55 | ↓ -63% |
| Kaiser | Commercial|All Plans | $618.03 | ↓ -58% |
| MHS Hospice | Commercial|All Plans | $769.20 | ↓ -47% |
| Humana | Medicare|All Plans | $785.56 | ↓ -46% |
| United | Medicare|All Plans | $785.56 | ↓ -46% |
| Aetna | Medicare|All Plans | $785.56 | ↓ -46% |
| Kaiser | Medicare|All Plans | $785.56 | ↓ -46% |
| BCBS - Anthem | Medicare|All Plans | $785.56 | ↓ -46% |
| Alignment | Medicare|All Plans | $785.56 | ↓ -46% |
| Scan Health Plan | Medicare|All Plans | $785.56 | ↓ -46% |
| First Health | Commercial|All Plans | $824.04 | ↓ -44% |
| United | Commercial|Non-Options PPO | $863.28 | ↓ -41% |
| United | Commercial|All Other Plans | $873.09 | ↓ -40% |
| Healthsmart | Commercial|All Plans | $902.52 | ↓ -38% |
| United | Commercial|Options PPO | $912.33 | ↓ -37% |
| MultiPlan | Commercial|All Plans | $961.38 | ↓ -34% |
| United | Commercial|HMO | $971.19 | ↓ -33% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↓ -5% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +38% |
| Health Net | Commercial|Care Product | $4,782.00 | ↑ +228% |
| Health Net | Commercial|FFS | $5,416.00 | ↑ +271% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +291% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +291% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +291% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +397% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +566% |
Visitor-reported prices
Comments
Rmvl ndwellg tun pleural cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $686.35 | $215.45 – $1,452.04 |
| Petaluma Valley Hospital | Petaluma | $1,171.47 | $593.00 – $2,695.00 |
| French Hospital | San Luis Obispo | $1,336.33 | $125.55 – $465.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,024.71 | $175.16 – $2,209.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,013.66 | $175.16 – $2,181.98 |
| Queen of The Valley Medical Center | Napa | $1,302.54 | $890.68 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,310.19 | $806.82 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $710.94 | $721.00 – $3,982.87 |